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HomeMy WebLinkAboutBuilding Permit 99-1223 City of Prior Lake . Inspection Notice DATE TIME 10/25/99 A.T. SCHEDULED ADDRESS 15990 FREMONT AVENUE NW OWNER CONTR PHONE NO. PERMIT # 99-1223 TYPE OF INSPECTION RE-ROOF COMMENTS: ~ Work Satisfactory, Proceed o Correct Action and Proceed :spect:~rrect Wp for Reinspection B::e:::::g DA TF RFr:FIVI='1 10/7/97 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Ap_ Permit No. 9f--/2.-Z-3 I DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) /2. SITE ADDRESS 1..51'?t!J ~A-:I /.Ju-P kR6l1St'A RJ(J"6'h9 7. TYPE OF WORK Fireplace Ll Septic tJ New Construction 0 Alterations 0 Addition Q Chimney 0 Misc. 18. PROPERTY AREA OR ACRES Sq. Fl. 3. LEGAL DESCRIPTION LOT 5 ADDITION 14. OWNER (Name) '-Th~h,.f)r.. 15. ARCHITECT (Name) 6. BUILDER (Name) 1.CATE )0 - 8 "9C? BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) /l/ t.t/ IiZIS '/ 12. NO. OF STORIES BLOCK /SI_ :? 1/ I 8V +T1t 13. TYPE OF CONSTRUCTION PID 2P:; -2.t-j...Q - ()4 2.-() -If, I I .J./J/1 ) , . - - (Address) ..$'\ mF 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) 'IL.f7- 1./7/7 (Address) (Tel. No.) (Address) (Tel. No.) S6 ~ U!s~D ~ot3i'l:) Deck 0 Re'roofj~ Porch 0 Finish Attic 0 Re-siding 0 Finish Basement 0 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 19. PROPERTY DIMENSIONS Width Depth 110. CULVERT SIZE Yes No 17. COMPLETION DATE I hereby certify that I have furnished information on this application which Is to the best of my knowledge true and correct. f also certify that I am the owner or authorized agent for the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the cily official or a designee may enter upon the property to perform needed insp~ns. X --nt.)cfL -t;:.~,.nlA. J /t!)-,?-'1t;' Signature License No. . Date.. SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING FOR ADMINISTRATIVE USE Front MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 Back Side Side R'.F C" A/A'" OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION o PLANS & SPECS 0 SURVEY 0 SETS COPIES ",.~).6U PLOT PLAN TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Div~ion 1 2 3 4 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Amount Brought Forward ..................!I: Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ S U City: 7J 1 S- I.L'~ $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... It. Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ 4' Other ......................................... It. Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ :~i~..........:~i~~.~.e:itWherPCfh-v . By f~ _Date If) '/ 'i , Certificate of Occup ncy Total Due .............................. $ 7/, . 00 Paid 7 If . o-v Receipt Nq. . 3{' <10 '3 Date /IJ/7/q q By J:lt:L- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance and may procee~Jequested. This document whe~ signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Issued City Planner Date Special Conditions ~ any 24 hour notice for all inspections 447.9850